SAMUEL DOONG


Address: 2514 Piedmont Ave Apt 105, Berkeley, CA 94704-3108
Phone: 9093803463

SAMUEL DOONG (NPI# 1003476359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003476359
Entity Type Individual
Full Name SAMUEL DOONG
Practice Address 2514 Piedmont Ave Apt 105
Berkeley
CA 94704-3108
Mailing Address 183 Berkeley
Irvine
CA 92612-4604
Practice Telephone 9093803463
Mailing Telephone 9093803463
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
183 Berkeley, Irvine, CA 926124604 9093803463

Office Location

Street Address 2514 PIEDMONT AVE APT 105
City BERKELEY
State CA
Zip Code 94704-3108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821698887 Ka Yin Emma Liu Counselor 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 2020-10-29
1821617168 Michelle Nagal Hunt Behavior Technician 2080 Addison Street, #302, Berkeley, CA 94704 2020-04-15
1366097081 Sabrina Barnett Behavior Technician 2080 Addison St, #302, Berkeley, CA 94704 2019-08-08
1811559735 Bonita House, Inc. Community/Behavioral Health 1909 University Ave, Berkeley, CA 94704 2019-07-01
1376014928 Justin T Cooke Specialist/Technologist 2024 Durant Ave #508, Berkeley, CA 94704 2018-12-07
1972080158 Cecilia Winfield Student in an Organized Health Care Education/Training Program 1918 University Ave., Suite 2b, Berkeley, CA 94704 2018-07-20
1952897332 Jennifer Henry Henry Naturopath 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 2018-07-09
1497267967 Merlenet Michelle Riley Counselor 2640 Martin Luther King, Berkeley, CA 94704 2017-10-24
1265951719 Caitlin Mary Mcdonough Student in an Organized Health Care Education/Training Program 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-09-15
1922525120 Patrice Werling Counselor 1918 University Avenue, Suite 2b, Berkeley, CA 94704 2017-08-28
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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1588024103 Kristin Bria Psychologist 150 Glen Cove Marina Rd E, Vallejo, CA 94591-7292 2016-02-24
1477921450 Haleigh Scott Psychologist 3626 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7200 2015-09-09
1235543265 Verbal Behavior Associates Psychologist 15373 Innovation Dr., Suite 200, San Diego, CA 92128 2014-06-18
1700290962 New Directions for Young Adults - California Psychologist 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 2014-06-16
1518383520 Tammy Brandt Psychologist 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 2014-03-14
1548501323 Independent Consulting Services Psychologist 124 Whispering Oaks Dr, Glendora, CA 91741-3988 2013-03-05
1770802696 Michael D Peters Psychologist 5814 La Salle Ave, Oakland, CA 94611-3210 2010-05-18
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Competitor

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City BERKELEY
Zip Code 94704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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